Provider Demographics
NPI:1124719372
Name:DELGADO, EISHLEY ANN (MSW)
Entity type:Individual
Prefix:
First Name:EISHLEY
Middle Name:ANN
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 11 BOX 12157
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-9405
Mailing Address - Country:US
Mailing Address - Phone:787-388-6492
Mailing Address - Fax:
Practice Address - Street 1:CARR 923 KM 1.0
Practice Address - Street 2:BO. BUENA VISTA
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-388-6492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR159181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical